CLARK M. KERR, M.D.; JOHN R. PERFECT, M.D.; PHILIP C. CRAVEN, M.D.; JAMES H. JORGENSEN, Ph.D.; DAVID J. DRUTZ, M.D.; JOHN D. SHELBURNE, M.D., Ph.D.; HARRY A. GALLIS, M.D.; ROBERT A. GUTMAN, M.D.
Fungal peritonitis is a rare complication in patients on continuous ambulatory peritoneal dialysis. We report five recent cases and their management. The fungi isolated were Candida albicans, C. parapsilosis, Exophiala jeanselmei, Drechslera spicifera, and a Fusarium species. Chemotherapy was attempted with various regimens including oral ketoconazole, intravenous or intraperitoneal amphotericin B, and oral flucytosine. Pharmacokinetic studies were done in two patients receiving treament with one of these drugs. Three patients were cured of their fungal infection. Three patients whose Tenckhoff catheters were left in situ died, whereas two patients whose catheters were removed survived. Our experience suggests that removal of the peritoneal catheter should be considered once the diagnosis of fungal peritonitis is established.
KERR CM, PERFECT JR, CRAVEN PC, JORGENSEN JH, DRUTZ DJ, SHELBURNE JD, et al. Fungal Peritonitis in Patients on Continuous Ambulatory Peritoneal Dialysis. Ann Intern Med. ;99:334–337. doi: 10.7326/0003-4819-99-3-334
Download citation file:
Published: Ann Intern Med. 1983;99(3):334-337.
Gastroenterology/Hepatology, Nephrology, Renal Replacement Therapy.
Results provided by:
Copyright © 2019 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use